JERRY RAY HARRISON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015654

License Status

NOT RENEWED

Business

First Name

JERRY RAY

Last Name

HARRISON

Suffix

DMD

Business Name

JERRY RAY HARRISON DMD

Original Issue Date

07/13/1976

Effective Date

12/15/2021

Expiration Date

09/30/2024

City

DECATUR

State

Zip

62526

Ever Disciplined

LastModifiedDate

02/04/2025

Case Number

2003003177

Action

Fine

Discipline Start Date

08/03/2004

Discipline Reason

Failed to maintain proper patient records.